Length of stay and readmission in lumbar intervertebral disc disorder inpatients by hospital characteristics and volumes

Kyu Tae Han, Hyo Jung Lee, Euncheol Park, Woorim Kim, Sung In Jang, Tae Hyun Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

In South Korea, lumbar intervertebral disc disorder (LIDD) patients are increasing in all age groups due to an aging population and changes in lifestyle, like sedentary, and there has been concern about reducing quality of care and increasing healthcare expenditure. Therefore, we aim to study the impact of hospital volume and hospital staffing, such as neurosurgeon or nurse, for length of stay or readmission in LIDD inpatients. We used health insurance claim data from 157 hospitals, consisting of 88,949 inpatient cases during 2010–2013. Multi-level models were analyzed to examine the association between LOS/readmission and both inpatient and hospital level variables. By the results, the average LOS was 10.85 days, and readmission within 30 days after discharge was 1063 (1.2%) cases. Higher hospital volume or number of neurosurgeons/ doctors showed inverse relation with LOS (per increases 100 cases = β: −0.0457, P-value < 0.0001; per increases 1 neurosurgeon = β: −0.3517, P-value < 0.0001; number of doctors per 100 beds = β: −0.1200, P-value < 0.0001). And, higher number of registered nurses (RNs) showed inverse relation with early readmission. In conclusion, higher volume or staffing showed positive relation with improving efficiency and quality in care of LIDD. Therefore, health policy makers should consider providing incentives or motivation to hospitals with higher volume or more superior hospital staffing for effective management of excessive healthcare expenditure or reducing quality of care.

Original languageEnglish
Pages (from-to)1008-1016
Number of pages9
JournalHealth Policy
Volume120
Issue number9
DOIs
Publication statusPublished - 2016 Sep 1

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Intervertebral Disc
Inpatients
Length of Stay
Quality of Health Care
High-Volume Hospitals
Health Expenditures
Motivation
Nurses
Sedentary Lifestyle
Delivery of Health Care
Republic of Korea
Health Insurance
Health Policy
Administrative Personnel
Age Groups
Population
Neurosurgeons

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Han, Kyu Tae ; Lee, Hyo Jung ; Park, Euncheol ; Kim, Woorim ; Jang, Sung In ; Kim, Tae Hyun. / Length of stay and readmission in lumbar intervertebral disc disorder inpatients by hospital characteristics and volumes. In: Health Policy. 2016 ; Vol. 120, No. 9. pp. 1008-1016.
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abstract = "In South Korea, lumbar intervertebral disc disorder (LIDD) patients are increasing in all age groups due to an aging population and changes in lifestyle, like sedentary, and there has been concern about reducing quality of care and increasing healthcare expenditure. Therefore, we aim to study the impact of hospital volume and hospital staffing, such as neurosurgeon or nurse, for length of stay or readmission in LIDD inpatients. We used health insurance claim data from 157 hospitals, consisting of 88,949 inpatient cases during 2010–2013. Multi-level models were analyzed to examine the association between LOS/readmission and both inpatient and hospital level variables. By the results, the average LOS was 10.85 days, and readmission within 30 days after discharge was 1063 (1.2{\%}) cases. Higher hospital volume or number of neurosurgeons/ doctors showed inverse relation with LOS (per increases 100 cases = β: −0.0457, P-value < 0.0001; per increases 1 neurosurgeon = β: −0.3517, P-value < 0.0001; number of doctors per 100 beds = β: −0.1200, P-value < 0.0001). And, higher number of registered nurses (RNs) showed inverse relation with early readmission. In conclusion, higher volume or staffing showed positive relation with improving efficiency and quality in care of LIDD. Therefore, health policy makers should consider providing incentives or motivation to hospitals with higher volume or more superior hospital staffing for effective management of excessive healthcare expenditure or reducing quality of care.",
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Length of stay and readmission in lumbar intervertebral disc disorder inpatients by hospital characteristics and volumes. / Han, Kyu Tae; Lee, Hyo Jung; Park, Euncheol; Kim, Woorim; Jang, Sung In; Kim, Tae Hyun.

In: Health Policy, Vol. 120, No. 9, 01.09.2016, p. 1008-1016.

Research output: Contribution to journalArticle

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